NPI 1104989011

Indiana Neuro-Ophthalmology & Center for Balance

Organisation Neurology Physician Lafayette, IN

Practice location

Address: 3721 Rome Dr Suite a, Lafayette, IN 47905-4408
Phone: (765) 807-7100
Fax: (765) 807-7101

Authorised official

Name: Scott Sanders
Title: President
Phone: (765) 807-7100

Registered specialties

Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence 01045654 (IN)

Other Psychiatry & Neurology providers in Indiana →

Registry record

NPI: 1104989011
Entity type: Organization
NPI issued: 19 Dec 2006
Record last updated: 2 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.